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DEPARTMENT OF THE NAVY FALL PROTECTION GUIDE July 20175.4 SAMPLE HAPHAZARD SURVEY REPORT For Specific Work Location General information Activity/Command: ___ Building/Facility # ___ Department: ___

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Obtain a copy of the 54 sample fall-hazard survey form.

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Start by reviewing the instructions provided with the form.

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Fill out all the required fields on the form accurately.

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Use specific details when describing any fall hazards observed.

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Take note of any corrective actions that need to be taken to address the fall hazards.

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Make sure to sign and date the completed form before submitting it as required.

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What is 54 sample fall-hazard survey?

The 54 sample fall-hazard survey is a survey conducted to identify and assess potential fall hazards in a workplace.

Who is required to file 54 sample fall-hazard survey?

Employers are required to file the 54 sample fall-hazard survey.

How to fill out 54 sample fall-hazard survey?

The 54 sample fall-hazard survey can be filled out by conducting a thorough inspection of the workplace and documenting any potential fall hazards.

What is the purpose of 54 sample fall-hazard survey?

The purpose of the 54 sample fall-hazard survey is to prevent workplace injuries and accidents related to falls.

What information must be reported on 54 sample fall-hazard survey?

The 54 sample fall-hazard survey must report details of potential fall hazards identified in the workplace.

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